| NPI | 1770114407 |
|---|---|
| Doing Business As | FOUR CORNERS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SOPHIA D BOJORQUEZ Director 702-573-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2022-06-23 |